Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60019973 | WA |
N | 111NI0900X | Internist | MD60019973 | WA |
Y | 207RN0300X | Nephrologist | MD60019973 | WA |
N | 2080P0210X | Pediatric Nephrologist | MD60019973 | WA |
NPI | 1023298817 |
---|---|
Provider Name | Christine Flogel |
First Address | Seattle, WA 98112-5211 |
Second Address | Seattle, WA 98112-5211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2007 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023298817 | (05) | WA |